Computed tomography, Pulmonology FAQ - Page 5

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Is Pulmonary Fibrosis a Death Sentence? Understanding the Facts

Is pulmonary fibrosis really a short-lived condition? Hello, recently I experienced chest tightness and difficulty breathing, but I did not have a cough. The doctor suspected pulmonary fibrosis during the auscultation, and when I researched it online at home, I was completely ter...


Dr. Wu Yingxun Reply:
Hello: The pulmonary fibrosis you are inquiring about refers to idiopathic pulmonary fibrosis, which presents symptoms such as cough, shortness of breath, and exertional dyspnea. To diagnose this condition, a chest X-ray is first performed to check for signs suggestive of pulmona...

[Read More] Is Pulmonary Fibrosis a Death Sentence? Understanding the Facts


Symptoms of Foreign Objects in the Bronchi and CT Scan Insights

Bronchial issues What symptoms may occur if there is a foreign body in the bronchus? Can a computed tomography (CT) scan assess the condition of the bronchus?


Dr. Huang Yiwen Reply:
Dear A-Wen: Imaging studies are less reliable for detecting bronchial foreign bodies; it is recommended to perform a bronchoscopy. The most common symptom is coughing, often due to irritation, and some patients may even cough up blood. Changhua Hospital is concerned about your we...

[Read More] Symptoms of Foreign Objects in the Bronchi and CT Scan Insights


Managing a 4.5mm Ground-Glass Nodule in the Right Upper Lung

There is a 4.5 mm ground-glass nodule in the right upper lobe of the lung? Hello, doctor. I used to smoke for ten years and have been smoke-free for four years now. Occasionally, I experience chest tightness. I found some information online and went to Chung Cheng Hospital for a ...


Dr. Huang Yiwen Reply:
Dear Mr. Lee, Currently, due to the prevalence of lung cancer in Taiwan, we encourage individuals over the age of 50 who smoke to undergo low-dose high-resolution computed tomography (CT) scans. Ground-glass opacities (GGO) are a common issue. Generally, if the GGO is less than ...

[Read More] Managing a 4.5mm Ground-Glass Nodule in the Right Upper Lung


Chronic Respiratory Infections: Seeking Answers for Persistent Symptoms

Tricky issue? Hello, Dr. Huang. During my military service, I had a cold and did not seek medical attention due to my duties, which eventually led to a severe case of tonsillitis. For the next two to three years, I frequently experienced tonsillitis or suppuration. After that, ev...


Dr. Huang Yiwen Reply:
Dear BEE: I apologize for the delayed response. Based on your medical history, it appears to resemble bronchiectasis, which is a condition that can be congenital or acquired, leading to recurrent infections that cause the local bronchial mucosa to lose its ciliary function. This ...

[Read More] Chronic Respiratory Infections: Seeking Answers for Persistent Symptoms


Understanding Lung Nodules: Size, Risks, and Next Steps for Evaluation

Size of lung nodules..? My father has previously been seeing a hepatologist at the hospital and has undergone blood tests, all of which showed no abnormalities until recently when my mother noticed that he frequently caught colds. This prompted us to get an X-ray or CT scan, whic...


Dr. Yang Wenda Reply:
Hello Ms. Wu: Lung nodules (small nodules) larger than 1 centimeter are more likely to be noticed on a standard chest X-ray. Nodules smaller than 1 centimeter require a high-resolution computed tomography (CT) scan (which your father has already undergone) to be more easily detec...

[Read More] Understanding Lung Nodules: Size, Risks, and Next Steps for Evaluation


Can Chest X-Rays Detect Bone Issues in Thoracic Medicine?

X-ray issues...!!! Can chest X-rays reveal issues with the bones in the thoracic cavity?


Dr. Huang Ruiming Reply:
If there are issues with the ribs, a chest X-ray may not always reveal everything. It is essential to consider clinical symptoms such as chest pain, any history of cancer in other organs, and certain blood tests. Sometimes, advanced technology like computed tomography (CT) scans ...

[Read More] Can Chest X-Rays Detect Bone Issues in Thoracic Medicine?


Chronic Cough: Understanding Causes, Risks, and Diagnostic Tests

Persistent cough that does not resolve? Hello: My father has been coughing every day since April of last year, but it is not a constant cough; it only occurs when he transitions from a warm environment to a cooler one. Over the past year, he has visited three medical centers for ...


Dr. Zhou Ziguang Reply:
1. The most definitive test for lung cancer is a pathological biopsy of suspicious lesions. 2. There are many potential causes for a persistent cough, including asthma, cancer, post-nasal drip, tuberculosis, allergies, gastroesophageal reflux, and side effects from certain medic...

[Read More] Chronic Cough: Understanding Causes, Risks, and Diagnostic Tests


Understanding Diaphragmatic Hernia Repair Surgery: Key Questions Answered

Diaphragmatic hernia repair surgery Dear Sir, I previously underwent an examination at a major hospital and was diagnosed with a diaphragmatic hernia, which has caused my stomach to rise and compress my left lower lung, resulting in atrophy. The doctor mentioned that I could be ...


Dr. Jian Shuntian Reply:
1. Symptoms of gastric distension and acid reflux may be related to a hiatal hernia, but further confirmation is needed. 2. It is necessary to determine the specific type of hiatal hernia, which requires endoscopy, barium swallow studies, and computed tomography (CT) scans to de...

[Read More] Understanding Diaphragmatic Hernia Repair Surgery: Key Questions Answered


Understanding Potential Tuberculosis Diagnosis: Key Questions and Next Steps

Diagnosis of pulmonary tuberculosis? Hello Doctor, In June, during a medical examination for studying abroad, a chest X-ray revealed a fibrotic calcified nodule in the upper lobe of my right lung. The examining physician suggested that it might be a scar from a past tuberculosis...


Dr. Zhou Ziguang Reply:
Hello, 1. If there were no abnormalities in the chest X-ray six years ago and there are now significant lesions, the likelihood of an active lesion is greater (unless there has been a history of other lung diseases in the past six years). 2. If there is a lesion in the right ...

[Read More] Understanding Potential Tuberculosis Diagnosis: Key Questions and Next Steps


Understanding Lung Shadows: Causes and Symptoms Explained

Lung lobe shadow Last month's health check X-ray report indicated: there are significant and sparse circular or irregular shadows in both lung lobes, but no larger shadows are present. What does this indicate? Thank you! (I occasionally experience pain on the inner side of t...


Dr. Ke Zhengchang Reply:
Hello: Based on your description, the chest X-ray may indicate tuberculosis, a tumor, or fibrosis resulting from old inflammation. It is recommended to consult a pulmonologist for further evaluation and tests, such as a computed tomography (CT) scan, to determine the underlying c...

[Read More] Understanding Lung Shadows: Causes and Symptoms Explained


Understanding Small Nodules in the Lower Lobes of the Lungs

Small nodules in the lower lobes of both lungs? Hello Doctor: My mother is 80 years old, and during this year's health check-up, a small nodule was found in her right lower lung lobe. I also have a small nodule in my left lower lung lobe. What does this mean, and how should ...


Dr. Yang Wenda Reply:
Hello, HC2211: The presence of small nodules in the lung lobes may indicate either a benign tumor or an early-stage malignant tumor. Typically, further evaluation with a computed tomography (CT) scan is required, and if necessary, a fine-needle aspiration or biopsy may be perform...

[Read More] Understanding Small Nodules in the Lower Lobes of the Lungs


Understanding Lung Cancer vs. Tuberculosis: Key Differences and Risks

Regarding the lungs? Hello, what are the differences between lung cancer and tuberculosis? Is lung cancer contagious? My grandfather is 76 years old and seems to have some lung issues recently. The doctor has recommended a CT scan, and I'm worried about whether he is in dang...


Dr. Qu Changke Reply:
Hello, Ida: Tuberculosis is caused by the Mycobacterium tuberculosis and is infectious, classified as a notifiable communicable disease. Lung cancer, on the other hand, is caused by cellular mutations leading to malignancy and is not contagious. When lung cancer is suspected, a c...

[Read More] Understanding Lung Cancer vs. Tuberculosis: Key Differences and Risks


Post-Tracheostomy Care: Addressing Wound Healing and Future Risks

What special considerations should be taken after the wound of a tracheostomy patient has healed? Hello, thank you for your previous response. My mother has had her tracheostomy tube removed for over three months now, and she is recovering well. However, the healing wound on her ...


Dr. Zhuang Ziyi Reply:
Hello: 1. The tracheostomy wound will gradually heal on its own over time, and it is generally covered with a scarf for both aesthetic and practical purposes. 2. It may not necessarily be a complication of the tracheostomy. Older patients often have reduced elasticity in the ...

[Read More] Post-Tracheostomy Care: Addressing Wound Healing and Future Risks


Understanding White Spots on Lung X-rays: What You Need to Know

The chest X-ray shows white spots in the lungs? Hello doctor, my mother recently underwent a full health check-up at the hospital, and the X-ray results showed white spots in her lungs. The doctor mentioned that it could possibly be a tumor and advised her to return for a follow-...


Dr. Zhuang Ziyi Reply:
Hello: The chest X-ray shows that there are white spots in the lungs, and there are many possible diagnoses. The most likely conditions include calcified nodules left by tuberculosis, chronic pulmonary infections, benign tumors, and malignant tumors, among others. The definitive ...

[Read More] Understanding White Spots on Lung X-rays: What You Need to Know


Is Pulmonary Fibrosis Cancer? Care Tips and Insights for Patients

Is pulmonary fibrosis cancer? How should it be managed and cared for? Dear Dr. Zhang, My husband is a heavy smoker (with about 15 years of smoking history). Recently, he went to the hospital for a cough and underwent an X-ray examination, where the doctor diagnosed him with pulm...


Dr. Zhang Zhengda Reply:
Anita: In Taiwan, half of lung cancer cases are related to smoking. The shadows on X-rays can present various changes, and further evaluation through computed tomography, cytological examination, and bronchoscopy is necessary for confirmation. It's important to undergo exami...

[Read More] Is Pulmonary Fibrosis Cancer? Care Tips and Insights for Patients


Understanding Lung Nodules: What You Need to Know and Next Steps

Hello, I have questions regarding pulmonary nodules. Thank you? Hello Doctor: My mother underwent a self-paid health examination at Kaohsiung Chang Gung Memorial Hospital two weeks ago. We received the examination report yesterday, which indicated that there is a pulmonary nodule...


Dr. Ke Zhengchang Reply:
There are many causes of pulmonary nodules, which can be benign or malignant. A computed tomography (CT) scan and other examinations are necessary to differentiate between them. If it is not possible to distinguish between benign and malignant nodules, surgical resection or biops...

[Read More] Understanding Lung Nodules: What You Need to Know and Next Steps


Understanding Pleural Effusion: Symptoms, Diagnosis, and Treatment Options

RE: Pleural Effusion What are the symptoms of pleural effusion? Why is it that hospitals often cannot detect it, and it is only diagnosed at larger hospitals? What methods are available for treatment? What should be avoided in the diet? What foods should be included? Why do repor...


Dr. Yang Wenda Reply:
Hello, Huah: Pleural effusion (fluid accumulation in the pleural space) most commonly causes symptoms such as cough, chest pain, or difficulty breathing (especially when the fluid volume is significant). Some individuals may be asymptomatic (when the fluid volume is minimal or ac...

[Read More] Understanding Pleural Effusion: Symptoms, Diagnosis, and Treatment Options


Understanding Pleural Effusion: Causes, Symptoms, and Diagnosis Challenges

Pleural effusion Hello Dr. Ding, My father-in-law recently experienced shortness of breath and shoulder pain. He visited Chang Gung Memorial Hospital in Chiayi, where an X-ray examination revealed pleural effusion. The physician stated that the cause and symptoms could not be d...


Dr. Ding Liangwen Reply:
There are many causes of pleural effusion, including tuberculosis and lung tumors as mentioned above. The fluid can be aspirated for analysis, which can help in differentiation. If differentiation is not possible, the fluid can be drained, and a chest X-ray can be performed to ch...

[Read More] Understanding Pleural Effusion: Causes, Symptoms, and Diagnosis Challenges


Understanding Hemoptysis: Key Considerations for Patients Abroad

Recently, I have been coughing up blood? Dr. Yang: Hello! I experienced hemoptysis several times last year, and after a CT scan, the doctor informed me that there is fibrosis in the bronchus near my heart, advising me to avoid catching a cold as much as possible. Recently, I have...


Dr. Yang Wenda Reply:
Hello Amy: As you mentioned, the computed tomography scan revealed fibrosis in the bronchi near your heart, indicating that there are no tumors or cavitary changes associated with tuberculosis in your lungs. Your diagnosis leans towards bronchiectasis, which may result in increas...

[Read More] Understanding Hemoptysis: Key Considerations for Patients Abroad


Is Surgery a Viable Option for Treating Bronchiectasis?

Is surgery a viable option for a cure? Hello Dr. Chang: If you are not unfamiliar with me, you should have seen my name among your many patient records. I have been living with bronchiectasis for many years. Whenever my condition worsens, I always come to see you. After taking th...


Dr. Zhang Zhengda Reply:
A "chest computed tomography (CT) scan" can be performed again. If there is localized bronchiectasis, surgical resection may be considered. Please schedule an outpatient appointment for a detailed explanation. Wishing you good health.

[Read More] Is Surgery a Viable Option for Treating Bronchiectasis?


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